New Patient Diabetes Assessment

Effective January 2019, we have improved our existing patient forms process to make things easier in the New Year.

*Based on the forms that were already completed for each patient in 2018, chose option A or B to submit the required 2019 forms below.

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**Forms Option A. Existing patients who completed the full intake packet of health information for each child in 2018 will no longer need to fill out the full packet of information before their first 2019 office visit.

There are still a few forms that require updated signatures, for each child, before your first 2019 appointment.

No Show Policy(new) – In order to honor appointment times and consistently provide access for all of our patients, we will be enforcing our No Show Policy to include late cancellations and rescheduling, effective January 2nd, 2019.

When you arrive for your first appointment in 2019, you will receive a Patient Demographic Data Form for your child. You will then have the opportunity to review and make any changes to your child’s health data.

(If you are unable to complete the required 2019 forms electronically ahead of time, you will need to complete them in our office. Please allow 10 extra minutes before your next appointment to complete any required forms.)

**Forms Option B. If you did not complete the 2018 full intake packet, we will still need the most updated health information before your next 2019 appointment. Please click on the link below to complete your full 2019 packet.